Loan Request Form

Please fill out the loan request form below for
Retail, Office or Industrial and press the submit button.

Today's Date:
Submitted by Name:
Address:
City:
State, Zip:
,
Telephone:
( )
Fax:
( )
Email:
Subject Property Information
Subject Property Name:
Address:
City:
State, Zip:
,
Property Type:
Square Footage/# of Units:

Land Size:

Fee or Ground Lease: $
# of Parking Spaces:
Age of Property:
Loan Amount Requested: $ (minimum $3,000,000: maximum $150,000,000 +)
Amortization Requested:
Years Loan Term Requested:
Years Estimated Value of Property: $ (most recent appraised value, if avail. "as if" date)
Loan - To - Value Ratio: %
Historical Profit & Loss Information (as appropriate)
1997 1998 1999
YTD Revenue:$
Rental Income: $
Reimbursements: $
Other Income: $
Gross Income: $
less Vacancy: $
NET REVENUE: $
Expenses: $
Taxes: $
Utilities: $
Maintenance: $
Insurance: $
Other: $
TOTAL
EXPENSES: $
Net Operating Income: $
Less Structual Reserves: $
$.10/SF Industrial $.15/SF Retail $.20/SF Office Less Tenant Improvements
Leasing Commissions: $
Cash Flow: $

Rent Roll as of:
Tenant | Square Feet | Start Date | End Date | Base Rent | Reimbursements

Borrowing Entity:

Type of Entity
(e.g. a California Corporation, a Maine Limited Partnership, a
Florida L.L.C.,etc)

Principals
(please include background, outstanding issues, bankruptcies, etc, net worth):

Unusual Items/Risk Factors/Issues (with regard to subject property):

Location/Neighborhood:

Physical Condition:

Environmental Issues, if any:

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